Caring for a Three Legged Dog or Cat
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My sweet eight year old lab Rory had her front leg amputated due to Osteosarcoma a little over six weeks ago. The first two weeks after surgery were mostly great, luckily! (Thanks to everyone who posts on this forum - it was a lifesaver!) She had no problems with mobility, eating, etc. and was generally her happy self. Once a day she seemed to yelp in pain (despite being on the max dosage of Tramadol, Gabapentin, and Carprofen for her weight) but that went away after a week or so.
We are now six weeks post-op, and she doesn't seem to be remotely close to her old self in terms of endurance. She can only walk about one block before getting totally worn out (although she is not happy when we turn her around to go home after such a short distance!). I know she is recovering from major surgery, but she didn't have any health problems prior to surgery in terms of arthritis, etc. I know she is very sore from using new muscles, of course, and we aren't far from the operation. We are doing daily stretches and massage a local rehab facility taught us. I'm wondering if others can weigh in on where their dogs were in terms of endurance after six or so weeks? I know most people indicated their dogs mostly bounced back by eight weeks. I'm worried because she's been having some pain (see below) and am hoping this doesn't mean we are getting to the end - she was only diagnosed eight weeks ago and had no lung mets or spread to lymph nodes as of her surgery six weeks ago.
Pain:
Unfortunately, after being weaned off pain meds during week three after getting her stitches out, she started yelping in pain once or twice a day while frantically hopping around; usually it lasted only 10 seconds or less. Sometimes it happened when she was sleeping, sometimes when she was standing, sometimes when she was walking. We got her back on Gabapentin assuming it was phantom limb pain which lessened the incidents but they didn't go away.
This weekend we noticed she wouldn't put weight on one hind leg during a yelping incident, which disrupts the phantom limb theory, so we took her back to the vet and got her on pain meds. We are lucky enough to live near CSU's animal cancer center, and they think it could be anything: a pinched nerve, phantom limb pain, etc. I'm just disappointed to have her back on so many pain meds when the point of surgery was to have her feeling better in her remaining time!
Thanks to anyone who can weigh in. I am so grateful for this community!
Hey Casey, welcome back, glad to hear recovery has otherwise been pretty normal.
It's hard to say what typical is and remember everyone's definition of what "bounce back" looks like is a little different. You can't really compare dogs because of different body types, ages, weight, lifestyle, all those things. What matters is how you feel your own dog is doing and if you do see that she has greatly decreased stamina, pain, etc., then it's definitely a good thing to check back with your rehab vet.
Are you doing it at CSU? I know of a GREAT lady in Fort Collins, Deanna Rodgers, PT, CCRP of Good Life Physical Therapy for Animals. see:
Dog Rehab Therapy Helps Tripawds Beat the Odds
Don't be disappointing about being on pain meds, they're there for a reason. Pain medication is the first step in managing pain, the next is finding the right therapies to get her back into her favorite activities again. You're taking great first steps to get there.
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
It can be distressing when you feel like your tripawd isn't doing as well as everyone else's....not "up and running circles" a few weeks post-amp. So, first I'lll tell you that you're not alone. We worried also because our tripawd Ellie also took her own sweet time getting her endurance back. She would take rests during her walk even a 3-4 months post-amp. And we never did get back to doing long walks after her amp, though she would tug and pull and really want to keep going. So the desire was there, but the stamina wasn't. Now Ellie was a big girl (90 lbs post-amp) and I definitely think it is easier for the smaller pups.
What we didn't do (regretfully) is really appreciate how much it is a different set of muscles involved in moving as a tripawd. I wish we had done rehab right off which I think would have made a big difference. So you might want to start w/ some muscle building to help Rory get along.
As for pain, if she is experiencing nerve pain, that is different than OSA pain so don't regret your decision to amputate. Nerve pain often arises because of damage to a nerve or even because the nerve gets 'trained' to respond incorrectly to a certain stimulus. It is frustrating because there is nothing "wrong", except the nerves think there is! So don't be afraid to treat the nerve pain because the last thing you want is for the nerves to get trained wrongly. (I'm not a vet or doctor, but I have a family member where this is an issue).
Denise, Bill and Angel Ellie.
Active 10+ Pyr mix suddenly came up lame with ACL tear in left rear leg. Scheduled for a TPLO but final pre-op x-rays indicated a small suspicious area, possibly OSA, which could have caused the ACL tear. Surgeon opened the knee for TPLO but found soft bone. Biopsy came back positive for OSA. Became a Tripawd 9/18/14. Carbo6 with Cerenia and Fluids. Pain free and living in the moment. Crossed the Bridge on 7/12/15 after probable spread of cancer to her cervical spine. A whole lifetime of memories squeezed into 10 months. Here's her story: Eloise
Well said Denise. That Ellie girl is still reaching out through you making a difference! Her time here continues to have a positive impact! Thank you! And Bill too!
Hope Rory is doing well!
Love,
Sally and Alumni Happy Hannah and Merry Myrtle too!
Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!
I am a new Tripod member and all of the information has been so helpful. We have a 90 lb lab, Harry. He had his left front leg amputated three weeks ago due to Osteosarcoma. His behavior has really changed. He seems totally depressed and will spend 22 out of 24 hours a day on his bed, if allowed. I get him up and we go on short walks, hang out outside etc... He does appear to keep "looking" for his leg and cries and whimpers at times. His vet visit was perfect and we were told to resume normal activities. I explained his behavior and they seemed puzzled. He was examined closely and she said he did not exhibit any pain with them and she thoroughly checked him due to my experiences at home. I really don't know if this is typical and if I should continue to "make" him get up and move around (short duration) throughout the day. At times he won't even get up and come in for a treat (which was his favorite thing in the world prior to surgery).
Thanks!
Hi and welcome. Harry looks like a total sweetheart! I'm glad you posted in thistopic because your situation is very relevant but do consider starting a new one so we can better follow your journey.
Now I'm not a vet but to me this sounds like he's in some kind of pain. Has he been evaluated by a rehabilitation veterinarian? Many general practice vets miss identifying the root of the issue becasuse they don't specialize in pain management and rehab. I'm on my phone now but will return with more info for you.
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
Oh just noticed too...3 weeks is not a long time, he may simply be overdoing things moving way too fast. What's his daily activity like before he slowed down?
Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet
We are just over 6 weeks with Otis, a 100-ish pound lab/Dane mix, front leg amputee, 8 years old 9 houses is his max walk, usually we do 7 and he lays down to rest for 5 minutes or so at house 5. We used to go over a mile, so it is a big change, but he is enjoying it and I guess I think it is ok too. My vet said to think about going the same distance hopping on one leg - put it in perspective for me. The fact that he has a nice activity level in the backyard and house helps too - again, not what it was before, but enough to feel that he is at a comfortable level of activity for him.
Otis - 106 pound lab/Dane mix, lost his right front leg to osteosarcoma on Febuary 9, 2016. Four rounds of carboplatin completed in April, 2016. Lung mets August 25, 2016. Said goodbye too soon on September 4, 2016. Lost his adopted sister, Tess, suddenly on October 9, 2016. likely due to hemangiosarcoma.
Wherever they are, they are together.
And Harry's folks, three weeks is really early. As long as he is going outside for business, going to his food bowl, and able to move from resting place to resting place in your house, I don't think I would push it. At 3 weeks we were still keeping a log so I knew when the last time he pee'ed and when I really had to bribe/force him outside. We saw real improvement as we approached week 4.
Otis - 106 pound lab/Dane mix, lost his right front leg to osteosarcoma on Febuary 9, 2016. Four rounds of carboplatin completed in April, 2016. Lung mets August 25, 2016. Said goodbye too soon on September 4, 2016. Lost his adopted sister, Tess, suddenly on October 9, 2016. likely due to hemangiosarcoma.
Wherever they are, they are together.
Kaycee is 16 months old. We rescued her 3/26/16. Prior, left hind leg amputated Feb 10 from car accident. First week home, she was walking a block, playing with toys, eating well, good bowels. Suddenly, 6 days ago, she started an occasional short shriek [pain?], will not walk except to urinate or move bowels, and sleeps 22 hours a day total. There is no tail wagging when we get home and only gets up to lay across our feet. Appetite is good. Vet put her on Tramadol and Prednisone [3 days], but no difference in her energy level or behavior. Help!! I cannot help thinking she may be in pain. Vet said blood work great, but not sure to pursue further testing [X-rays] at this point. Am I being impatient with her recovery?
Hello and welcome, your future posts will not have to wait for approval.
What kind of dog is Kaycee? How big is she?
I also have a 16 month old rear amp tripawd, Elly, a pug mix about 15 pounds. Elly lost her leg at about 7 months old after she was hit by a car, her owners turned her into a rescue group who paid for the surgery.
Kaycee is about 2 months out from amp surgery and young so I would think she would be past any pain from the surgery. Did the vet find any sore spots during the exam? Do you know what her activity level was like before you adopted her? Is she doing anything really different now, such as climbing stairs? Is it possible there was another injury from the car accident?
It is not unusual for newer Tripawds to hurt themselves- pull muscles or tweak their back. You should consider a visit with an orthopedic vet and/or a rehab vet. They may be able to find a reason for Kaycee's issues and give you some exercises to strengthen her core.
Also- please consider starting your own thread in the 'Share Your Story' or 'Beyond Cancer' forums so you can introduce your girl and so your story doesn't get lost here in this older thread.
Hang in there with Kaycee- I'm finding it difficult to judge the appropriate activities and level of activities for Elly since I've only known her as a Tripawd. Once you get her issues sorted out you are in for a wonderful and inspirational journey!
Karen and the Spirit Pug Girls
Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.
1999 to 2010
krun15 said
Hello and welcome, your future posts will not have to wait for approval.What kind of dog is Kaycee? How big is she?
I also have a 16 month old rear amp tripawd, Elly, a pug mix about 15 pounds. Elly lost her leg at about 7 months old after she was hit by a car, her owners turned her into a rescue group who paid for the surgery.
Kaycee is about 2 months out from amp surgery and young so I would think she would be past any pain from the surgery. Did the vet find any sore spots during the exam? Do you know what her activity level was like before you adopted her? Is she doing anything really different now, such as climbing stairs? Is it possible there was another injury from the car accident?
It is not unusual for newer Tripawds to hurt themselves- pull muscles or tweak their back. You should consider a visit with an orthopedic vet and/or a rehab vet. They may be able to find a reason for Kaycee's issues and give you some exercises to strengthen her core.
Also- please consider starting your own thread in the 'Share Your Story' or 'Beyond Cancer' forums so you can introduce your girl and so your story doesn't get lost her in this older thread.
Hang in there with Kaycee- I'm finding it difficult to judge the appropriate activities and level of activities for Elly since I've only known her as a Tripawd. Once you get her issues sorted out you are in for a wonderful and inspirational journey!
Karen and the Spirit Pug Girls
Thanks for your response - Kaycee is a Chihuahua/terrier mix who weights 10 lbs. Don't know about pre-adopt activity....but since she has come home, she has been feisty, walking a few blocks, playful, and an absolute delight. So this new behavior is causing me a concern .... and it is possible that she somehow may have hurt herself or her back or pulled a muscle. It's been a short time since adoption and since amp, I know. My vet has run blood work which is fine. Not sure if I should just be patient for a few more days while she is still on meds - or - just dig in and get to an ortho or rehab vet. Has your experience noted that a few more days on meds are in order?
Has the sleeping 22 hours a day happened after the tramadol was prescribed? How much tram is she getting and how often? Dogs are different in their reaction to meds- two of my pugs get quite sedated on tramadol.
My concern with giving pain meds without knowing what you are treating is that you are masking the pain but not getting to the underlying issue that is causing the pain- thus the rehab or ortho vet suggestion.
It is possible at 2 months amp post op that Kaycee is having phantom limb pain pain, although most instances I've heard about here start within the first couple weeks. You might talk to your vet about that possibility and a med called gabapentin, many here have had good luck with that for phantom limb pain.
When I re-read what you write it sounds more like Kaycee hurt herself somehow. If the tram works then great, but I think you need to try and find the underlying cause. And if she is doing something like stairs or she slipped somewhere in your house and that is what is causing her pain you want to eliminate those dangers for her in the future.
Karen
Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.
1999 to 2010
We have an almost 8yr old shepherd mix Quincy approx 60-65 lbs who is a few days behind Otis (who posted above) in terms of amp recovery (he will be 8 weeks tmrw). Every dog is different as several have noted but I think the key in terms of recovery and knowing if they are in pain is kind of their overall behavior/attitude/energy level.
For example, Quincy does all the things he used to and acts just like himself (and pretty much has since 2-3 weeks, once his staples came out and stopped with the heavy pain killers). That said he does them for much shorter times - e.g. - he obviously can't walk as far but wants to (we just don't want him to hurt himself or get stuck midway and have no way to get him home), he still plays and chases the ball out back just in shorter bursts.
He also has been/did do the weird yelping thing similar perhaps to what is mentioned above. Typically one quick yelp that was preceded by nothing unusual and followed by either going back to what he was doing or being dazed momentarily, looking at us and then going back to what he was doing. That didn't start until almost a month post op and well after Tramadol, Rimadyl and Gabapentin stopped. For about 4-5 days I did give him a Gabapentin in the evening to see if it would help and it did lessen the yelp incidents but not eliminate. We asked last week at his 3rd round of chemo and vet said after full physical exam he was ok and she couldn't illicit any yelps and nothing seemed out of the ordinary physically. She said Gabapentin wasnt hurting anything if we wanted to keep giving it but that she didn't think he needed it either - i.e. our call if we thought it helped. We stopped and he has yelped a few times but it is less overall than before. I don't know - it is strange and certainly unsettling because you think the worst and don't want them in pain but in our case he is fine otherwise - probably just adjusting (we all are).
I guess bottom line is it takes time and is an adjustment for you and your dog be it 3 weeks or 6 weeks so you have to be patient and go easy and yourself. Also if there is additional therapy like chemo or other meds or vet visits that could be affecting endurance/behavior. You know your dog best and if something seems off, definitely ask the vet (and check here because chances are someone here has experienced something similar). Good luck!
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